Papers - TANOUE Hiroki
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Translated and culturally adapted internet-delivered cognitive therapy for social anxiety disorder in Japanese clinical settings: study protocol for a randomised controlled trial Reviewed International coauthorship
Yoshinaga N., Thew G.R., Hayashi Y., Tanoue H., Nakai M., Clark D.M.
Trials 25 ( 1 ) 492 2024.12
Language：English Publishing type：Research paper (scientific journal) Publisher：Trials
Background: Cognitive therapy for social anxiety disorder (CT-SAD) has extensive empirical support and is recommended in several national guidelines. However, ensuring access to evidence-based psychological therapies such as CT-SAD remains a global challenge. An internet-delivered version of this treatment protocol (iCT-SAD) has recently been developed in the UK as a way to overcome this challenge, demonstrating comparable outcomes to face-to-face CT-SAD whilst requiring less therapist time per client. Initial findings also suggest its cross-cultural transferability, but the previous studies in other cultural settings used the English language programme and only included English-fluent participants as a second language. It is not yet known what outcomes can be achieved once the programme has been translated and adapted for a different cultural context. Therefore, this trial aims to evaluate the clinical efficacy of Japanese iCT-SAD when combined with treatment as usual (TAU) in clients with SAD. Methods: This two-arm, parallel-group, superiority randomised controlled trial will recruit 60 Japanese participants with SAD, randomly assigning them to either Japanese iCT-SAD + TAU or TAU alone at a ratio of 1:1. The primary outcome measure is the self-report Liebowitz Social Anxiety Scale, and secondary.outcomes include other measures of social anxiety symptoms and processes, general mood and functioning, and response to treatment. We will also assess treatment acceptability and gather participant feedback. Assessments will take place at baseline (week 0), mid-treatment (week 8), and post-treatment (week 15), with a further 3-month follow-up (week 27) for the iCT-SAD + TAU arm. The primary analyses will be conducted on an intent-to-treat basis, comparing the primary and secondary outcome measures between groups using linear mixed-effect models, along with additional mediation analysis. Discussion: Investigating the efficacy of translated and culturally adapted iCT-SAD in different cultural contexts is an important step in evaluating the global reach of internet interventions. This trial will provide valuable insights into the effects of iCT-SAD combined with usual care, and how this treatment could be delivered in routine clinical settings in Japan. Trial registration: International Standard Randomized Controlled Trials (ISRCTN), ISRCTN82859645, registered on January 19, 2024. UMIN Clinical Trials Registry (UMIN-CTR), UMIN000052702, registered on November 6, 2023.
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Kato S., Tanoue H., Fukuzoe J., Ishida Y.
SAGE Open Nursing 10 23779608241290717 2024.10
Language：English Publishing type：Research paper (scientific journal) Publisher：SAGE Open Nursing
Introduction: Behavioral Activation (BA) is a short-term cognitive behavioral therapy modality that stimulates activities that increase patients’ reinforcement experiences. Recent research verified the effect of brief BA. However, despite the short intervention time per session, BA is difficult to implement during hospitalization due to its long implementation period. Objectives: To evaluate the clinical effectiveness of a brief BA program for people with depression in an inpatient setting. Methods: This study employed a single-group pre-post design. Fifteen patients who met the inclusion criteria participated in the trial after providing oral and written informed consent. In addition to their usual care, participants received four weekly sessions administered by a nurse. The primary outcome measures included the Beck Depression Inventory (BDI-II), which indicated patients’ subjective depression severity. Clinical outcomes were measured at preintervention, immediate postintervention, and one-month postintervention. Results: Fourteen participants completed the BA program and were receptive to treatment. For the primary endpoint, BDI-II, there was an improvement in scores (25.60 to 22.73 to 22.06) between the baseline, postintervention, and 1-month postassessment, but not a significant change. For EQ VAS score, there was no significant change, but there was an improvement in EQ VAS score (51.53 to 52.20 to 55.13) between the baseline, postintervention, and 1-month postassessment. The mean total Global Assessment of Functioning score increased from 40.20 to 57.00 across the pre- and postassessment points (p <.0001). Conclusion: The study comprised a brief BA intervention, with results suggesting that participants could complete the program without feeling burdened. Although there was no significant improvement in the general outcome, depression levels, and other outcomes improved. Thus, while there is a need to rethink BA intervention, this program may be a practical approach to improving depression and other outcomes.
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Yoshinaga N., Obara Y., Kawano N., Kondo K., Hayashi Y., Nakai M., Takeda R., Tanoue H.
Behavioral Sciences 14 ( 7 ) 2024.7
Authorship：Corresponding author Language：English Publishing type：Research paper (scientific journal) Publisher：Behavioral Sciences
The importance of nurses integrating effective psychological techniques into their clinical practice is widely recognized. Nevertheless, further evidence from real-world settings is needed to establish nurse-led cognitive behavioural therapy (CBT) as an effective approach in clinical practice. This study aimed to examine the clinical effectiveness and predictors of individual CBT for mental disorders delivered by nurses in various routine clinical settings. This pragmatic retrospective cohort study collected data from participants who received nurse-led individual CBT at four institutions from different prefectures in Japan between April 2015 and March 2023. During the study period, 280 clients were referred to nurses for CBT, 240 of whom received nurse-led individual CBT of at least one session. The common primary diagnoses among participants were major depressive disorder (33.8%), social phobia (12.9%), and obsessive–compulsive disorder (10.0%). Of these, 23 participants were ongoing cases at the end of the observation period, and 217 who had completed the course of therapy or discontinued/dropped out from the therapy were included in the analysis (173 completed and 44 discontinued/dropped out (i.e., dropout rate = 20.3%)). Based on the clinical significance definition (primary outcome), 62.4% of the participants who completed the therapy were judged to demonstrate positive clinical significance (recovered or improved), with only a few participants (6.9%) demonstrating deterioration. Significant improvements were observed before and after nurse-led individual CBT across all secondary outcomes, including depression and anxiety symptoms, health-related quality of life, and functional disability (all ps ≤ 0.001). Univariate logistic regression revealed that clients with higher baseline severity of depression and anxiety symptoms were less likely to achieve positive clinical significance following nurse-led individual CBT. The real-world evidence gained through this study will encourage frontline nurses and motivate institutional/organizational leaders and policymakers to employ nurse-led individual CBT, especially for depression and anxiety-related disorders.
DOI： 10.3390/bs14070604
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Research and Future Challenges for Disseminating Strengths-Based Nursing and Healthcare in Japan Reviewed
Shiraishi Y., Saito Y., Kuroki T., Yoshinaga N., Tanoue H., Hayashi Y.
Nursing Leadership 36 ( 4 ) 52 - 56 2024.4
Language：English Publishing type：Research paper (scientific journal) Publisher：Nursing Leadership
Strengths-Based Nursing and Healthcare (SBNH) has garnered attention in the field of psychiatric nursing in Japan, yet its adoption in other nursing sectors remains limited. Japan is currently facing the formidable challenge of a rapidly aging population and growing demand for healthcare and welfare services. To address these issues, a shift from hospital-based care to comprehensive community care is underway, underscoring the importance of nurses in community settings, where focusing on client strengths is essential. Therefore, this paper aims to present research and practical examples to advocate for the broader dissemination of SBNH in Japan.
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看護の観察力を高める教育実践例 ―精神科における心理社会的介入プログラムの活用― Reviewed
田上 博喜
教学マネジメント研究 1 11 - 21 2024.3
Authorship：Lead author Publishing type：Research paper (bulletin of university, research institution)
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Journal of Japan Academy of Psychiatric and Mental Health Nursing 32 ( 2 ) 80 - 87 2023.11
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：The Japan Academy of Psychiatric and Mental Health Nursing
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Nabeshima Mayumi, Shimamoto Kazuko, Tanoue Hiroki
Journal of Japan Academy of Psychiatric and Mental Health Nursing 32 ( 2 ) 41 - 49 2023.11
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：The Japan Academy of Psychiatric and Mental Health Nursing
OBJECTIVE: To clarify the current status and challenges of nursing care for drug-dependent patients as perceived by nurses in psychiatric hospitals that do not have specialized wards for addiction treatment.METHOD: Based on semi-structured interviews with 14 nurses, we conducted a qualitative descriptive study using the KJ method. This method reconstructs information regarding participants’ perceptions and experiences derived from interviews as data, and qualitatively and descriptively structure the data itself.RESULTS and DISCUSSION: Insights into the essence of how nurses face patients with drug dependence was revealed. Nurses respected the complex feelings and the individuality of patients with drug dependence, and they viewed them as patients—individuals receiving nursing care—trying to regain autonomy. Nurses were highly aware of the difficulties and unique challenges associated with caring for patients with drug dependence who have to deal with the withdrawal symptoms of drug abstinence combined with symptoms of cravings while being unable to express their pain or their difficulties in their lives. Issues such as the need to continue supporting discharged drug-dependent patients through the use of multifaceted interprofessional networks, the need for support that includes long-term educational considerations for addressing the complicated recovery process, and cooperation with the justice system, were identified.
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Tanoue Hiroki, Hayashi Yuta, Shikuri Yuki, Yoshinaga Naoki
Journal of International Nursing Research advpub ( 0 ) e2022-0023 - e2022-0023 2023.8
Authorship：Lead author Language：English Publishing type：Research paper (scientific journal) Publisher：一般社団法人 日本看護研究学会
Objective: The need for mental health nurses (MHNs) to incorporate psychological techniques into their nursing practice has been recognised worldwide. Further evidence from real-world settings is necessary to demonstrate that MNH-led cognitive behavioural therapy (CBT) is an effective approach that can be used in clinical practice. This study aimed to explore the clinical effectiveness and predictors of MNH-led CBT for mood and anxiety disorders in routine outpatient care settings in Japan. Methods: This retrospective study collected data through a medical record review of 69 participants who underwent MHN-led CBT between January 2015 and December 2019. Results: Participants who received MHN-led CBT demonstrated significant improvements in depressive/anxiety symptoms, health-related quality of life and primary psychiatrists' impressions of condition severity (all <i>p</i> <.001). At the end of therapy, more than half of the participants (56.5%) showed positive clinical significance (recovered/improved) based on cutoff points and reliable change indices of validated depression and anxiety measurement scores. Furthermore, an increase in the baseline anxiety score predicted lower odds of achieving positive clinical significance (odds ratio = 0.87, 95% confidence interval = 0.79-0.96). Conclusions: Despite several limitations, mainly owing to its single-group retrospective design, this real-world evidence of MHN-led CBT bridges the gap between research and clinical practice, contributing to the widespread use of MHN-led CBT in mental health services worldwide.
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Saito Yoshihiro, Tanoue Hiroki, Shiraishi Yuko
Journal of Japan Academy of Psychiatric and Mental Health Nursing 32 ( 1 ) 92 - 99 2023.6
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：The Japan Academy of Psychiatric and Mental Health Nursing
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Yoshinaga N, Thew GR, Hayashi Y, Matsuoka J, Tanoue H, Takanashi R, Araki M, Kanai Y, Smith A, Grant SHL, Clark DM
JMIR formative research 7 e45136 2023.5
Language：English Publishing type：Research paper (scientific journal) Publisher：JMIR Formative Research
Background: Internet-delivered cognitive therapy for social anxiety disorder (iCT-SAD), which is a therapist-guided modular web-based treatment, has shown strong efficacy and acceptability in English-language randomized controlled trials in the United Kingdom and Hong Kong. However, it is not yet known whether iCT-SAD can retain its efficacy following linguistic translation and cultural adaptation of treatment contents and implementation in other countries such as Japan. Objective: This study aimed to examine the preliminary efficacy and acceptability of the translated and culturally adapted iCT-SAD in Japanese clinical settings. Methods: This multicenter, single-arm trial recruited 15 participants with social anxiety disorder. At the time of recruitment, participants were receiving usual psychiatric care but had not shown improvement in their social anxiety and required additional treatment. iCT-SAD was provided in combination with usual psychiatric care for 14 weeks (treatment phase) and for a subsequent 3-month follow-up phase that included up to 3 booster sessions. The primary outcome measure was the self-report version of the Liebowitz Social Anxiety Scale. The secondary outcome measures examined social anxiety–related psychological processes, taijin kyofusho (the fear of offending others), depression, generalized anxiety, and general functioning. The assessment points for the outcome measures were baseline (week 0), midtreatment (week 8), posttreatment (week 15; primary assessment point), and follow-up (week 26). Acceptability was measured using the dropout rate from the treatment, the level of engagement with the program (the rate of module completion), and participants’ feedback about their experience with the iCT-SAD. Results: Evaluation of the outcome measures data showed that iCT-SAD led to significant improvements in social anxiety symptoms during the treatment phase (P<.001; Cohen d=3.66), and these improvements were maintained during the follow-up phase. Similar results were observed for the secondary outcome measures. At the end of the treatment phase, 80% (12/15) of participants demonstrated reliable improvement, and 60% (9/15) of participants demonstrated remission from social anxiety. Moreover, 7% (1/15) of participants dropped out during treatment, and 7% (1/15) of participants declined to undergo the follow-up phase after completing the treatment. No serious adverse events occurred. On average, participants completed 94% of the modules released to them. Participant feedback was positive and highlighted areas of strength in treatment, and it included further suggestions to improve suitability for Japanese settings. Conclusions: Translated and culturally adapted iCT-SAD demonstrated promising initial efficacy and acceptability for Japanese clients with social anxiety disorder. A randomized controlled trial is required to examine this more robustly.
DOI： 10.2196/45136
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Ohkawa Yuriko, Tanoue Hiroki, Fukai Kiyoko
Journal of International Nursing Research 2 ( 1 ) e2021-0005 - e2021-0005 2023.2
Language：English Publishing type：Research paper (scientific journal) Publisher：一般社団法人 日本看護研究学会
Objective: This study aimed to examine the effectiveness of facial massage, as a nursing technique, in alleviating stress in healthy women using physiological and psychological indicators. Methods: A crossover design was employed; participants were 22 healthy females between the ages of 20 and 22. Participants were assigned to Sequence 1, wherein they received a 3-minute facial massage in Period I and 3-minute rest in Period II, or Sequence 2, which employed the reverse order. Participants' blood pressure (BP), pulse rate, salivary alpha-amylase (sAA), Profile of Mood States (POMS), "Relaxation level," "Comfort level," and "Wakefulness level," as measured by the Visual Analog Scale (VAS), were assessed before and after the facial massage or resting intervention. Results: Between the two groups, changes in systolic BP increased in the facial massage group, but there was no difference in pulse and sAA. While there was no difference between the two groups in the POMS, VAS scores revealed an increase in the "Relaxation level" and "Comfort level" in the facial massage group. Facial massage participants reported feeling "refreshed," whereas the control group reported feeling "sleepy." Conclusions: The 3-minute facial massage increased relaxation with respect to psychological measures; however, BP change could not explain stress reduction. (This study was enrolled in the UMIN as an intervention study and as a prospective randomized crossover trial. The trial registration number is UMIN000033939.)
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Ishigaki T., Shimada T., Tanoue H., Yoshinaga N., Nishiguchi Y., Ishikawa R., Hosono M.
Frontiers in Psychiatry 14 1298429 2023
Language：English Publishing type：Research paper (scientific journal) Publisher：Frontiers in Psychiatry
Introduction: The Nepean Beliefs Scale by Brakoulias et al. is an interview-based multidimensional instrument that measures pathological beliefs in various psychiatric disorders. This study examined the reliability and validity of Nepean Beliefs Scale (NBS) for delusions and overvalued ideas in patients with chronic-phase schizophrenia. Methods: Multiple raters at two healthcare settings examined the beliefs of 28 individuals with schizophrenia using the NBS. Concurrently, PANSS, PDI-21, BCIS, PHQ-9 and GAD-7 were administered. Results: The NBS had high reliability and correlation with relevant scales. Discussion: The NBS was found to have sufficient reliability and validity for assessing the pathological beliefs of patients with chronic schizophrenia. Although NBS is an easy-to-instruct instrument, it should be noted that appropriate explanations and examples should be added to instructions to obtain reliable responses from patients with chronic schizophrenia.
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依存症治療専門病棟を持たない精神科病院の看護師が認識する薬物依存症患者への看護の現状と課題 Reviewed
鍋島まゆみ, 嶋元和子, 田上博喜
日本精神保健看護学会誌 32 ( 2 ) 41 - 49 2023
Publishing type：Research paper (scientific journal)
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Tanoue Hiroki, Tanoue Hiroki, Hayashi Yuta
Archives of Psychiatric Nursing 40 43 - 49 2022.10
Language：Japanese Publishing type：Research paper (scientific journal)
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Shikuri Y., Tanoue H., Imai H., Nakamura H., Yamaguchi F., Goto T., Kido Y., Tajika A., Sawada H., Ishida Y., Yoshinaga N.
BMJ Open 12 ( 4 ) e057286 2022.4
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：BMJ Open
Introduction Despite the recent global mental health movement of the transition from hospital-centred to integrated community-based services, comprehensive evidence of psychosocial interventions focusing on community-dwelling individuals with schizophrenia is still lacking. To overcome this gap in the current knowledge, we will conduct a systematic review and meta-analysis to assess the efficacy of all types of psychosocial interventions for community-dwelling (non-hospitalised) individuals with schizophrenia when compared with non-active control conditions (eg, treatment as usual). Methods and analysis This study protocol has been developed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. By March 2022, the following sources will have been searched, without restrictions for language or publication period: Embase, PubMed, PsycINFO, CINAHL, the Cochrane Central Register of Controlled Trials, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform. We will also try to identify other potentially eligible studies by searching the reference lists of included studies, other relevant systematic reviews and grey literature. All relevant randomised controlled trials from both high-income and low-income to middle-income countries will be allowed. Two independent reviewers will conduct the selection/screening of studies, data extraction and methodological quality assessment of included studies. The primary outcomes are quality of life and psychiatric hospital admission. Standard pairwise meta-analyses with a random-effects model will be conducted. Subgroup and sensitivity analyses will be performed to assess the robustness of the findings. Risk of bias will be assessed with the Revised Cochrane Risk-of-Bias Tool for Randomised Trials. The Grades of Recommendation Assessment, Development and Evaluation approach will be used to assess the quality of evidence. Ethics and dissemination Ethics approval is not required for this study. The study findings will be disseminated through conference presentations as well as peer-reviewed publications. PROSPERO registration number CRD42021266187.
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Physiological and Psychological Effectiveness of Facial Massage in Women: A Randomized Crossover Trial Reviewed
Ohkawa Y, Tanoue H, Fukai K
Journal of International Nursing Research 2022
Language：English Publishing type：Research paper (scientific journal)
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Tanoue H., Yoshinaga N., Hayashi Y., Ishikawa R., Ishigaki T., Ishida Y.
Japan Journal of Nursing Science 18 ( 2 ) e12389 2020.11
Language：English Publishing type：Research paper (scientific journal) Publisher：Japan Journal of Nursing Science
© 2020 Japan Academy of Nursing Science Aim: To evaluate the clinical effectiveness of metacognitive training (MCT) as a transdiagnostic program, on a diverse population with mental disorders in routine Japanese day-care settings. Methods: This study employed a prospective, multicenter, single-group pre-post design. Participants diagnosed with various mental disorders received 10 MCT group sessions. We set transdiagnostic outcomes to assess quality of life, global functioning, cognitive insight, and depressive symptoms. At the end of the MCT, we also evaluated participants' satisfaction with treatment. Assessments were conducted at baseline (Pre), Week 5 (Mid), Week 10 (Post), and Week 14 (follow-up: FU). Results: Thirty-four participants enrolled in the study and received MCT (schizophrenia = 22, non-schizophrenia = 12). Intent-to-treat analyses revealed significant improvements in quality of life/global functioning during the intervention period, and further improvements were observed during the follow-up (all p <.05). The Pre–FU treatment effect sizes for quality of life and global functioning were small (Hedge's g = 0.44 and 0.47, respectively). Significant improvements were also found in depressive symptoms during both the intervention and follow-up periods (all p <.05), but not in cognitive insight. Overall, participants were highly satisfied with the MCT content and format. Scores on almost all outcomes (except for depression) at each assessment point were not significantly different between the schizophrenic and non-schizophrenic sub-groups. Conclusions: Despite several limitations, mainly due to small sample size and having no control conditions, our results suggest that MCT for a diverse population with mental disorders is a potentially effective approach in improving quality of life/global functioning and other clinical outcomes in routine day-care settings.
DOI： 10.1111/jjns.12389
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Hayashi Yuta, Sasaki Yosuke, Tanoue Hiroki, Yoshimura Kensuke, Kadowaki Yuko, Arimura Yasuji, Yanagita Toshihiko, Ishida Yasushi
BMJ Open 10 ( 5 ) e033365 2020.5
Language：English Publishing type：Research paper (scientific journal)
Objectives To clarify the dissemination status of cognitive behavioural therapy (CBT) in Japan under the national health insurance scheme.
Design Retrospective observational study.
Setting National Database of Health Insurance Claims and Specific Health Checkups of Japan.
Participants Patients who received CBT under the national health insurance scheme from fiscal years (FY) 2010 to 2015.
Primary and secondary outcome measures We estimated the change rate and the standardised claim ratio (SCR) for the number of patients receiving CBT and analysed the association between the CBT status and several regional factors.
Results We found that (a) a total of 60 304 patients received CBT during the study period; (b) the number of patients receiving CBT was highest in the first year (−1.8% from FY2010 to FY2015); (c) the number of patients who received CBT per 100 000 population decreased (or remained at zero) in most prefectures (32 out of 47); (d) there was a maximum 424.7-fold difference between prefectures in the standardised claim ratio for CBT and (e) the number of registered CBT institutions was significantly associated with the number of patients who received CBT.
Conclusions The provision of CBT did not increase in the first 6 years (FY2010–2015) after its coverage in Japan’s national health insurance scheme. Further studies including a questionnaire survey of registered CBT institutions are required to get more detailed information on the dissemination of CBT in Japan. -
The efficacy of extended metacognitive training for psychosis: A randomized controlled trial Reviewed
Ishikawa R., Ishigaki T., Shimada T., Tanoue H., Yoshinaga N., Oribe N., Morimoto T., Matsumoto T., Hosono M.
Schizophrenia Research 215 399 - 407 2019.8
Language：English Publishing type：Research paper (scientific journal) Publisher：Schizophrenia Research
This study investigated the efficacy of 10-module metacognitive training (MCT) among Japanese patients with schizophrenia by conducting a multicenter randomized controlled trial to test the influence of the most recent and extended version of MCT on positive symptoms. A six-center, randomized, assessor-blind, controlled trial between “treatment as usual” (TAU) and TAU + MCT was conducted. Fifty inpatients and outpatients with schizophrenia, schizotypal, and delusional disorders (ICD 10) were enrolled, then randomly assigned to TAU (n = 26) or TAU + MCT (n = 24). Assessments were made at baseline, after six weeks, immediately posttreatment, and 1-month post-treatment. The primary outcome was positive symptom score, as measured by the Positive and Negative Syndrome Scale (PANSS). General assessment of functioning (GAF) and measures of cognitive biases were secondary outcomes. Completion at post-treatment (10 weeks later) and 1-month follow-up was high—TAU + MCT, n = 22 (91.67%) and TAU, n = 23 (88.46%). The severity of PANSS positive symptoms declined significantly in the TAU + MCT treatment group compared with the TAU group. GAF also showed significantly greater improvement in the TAU + MCT group compared with the TAU group. There was also a trend for greater efficacy of MCT on cognitive biases. In conclusion, this study provides support for the efficacy of 10 module MCT concerning positive symptomatology (especially, delusion) and general functioning.
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不眠の認知行動療法「不眠に加え、日中の活動に達成感を持つことができないうつ病患者への介入」 Invited Reviewed
田上博喜，吉永尚紀
睡眠医療 13 ( 1 ) 89 - 94 2019.4
Authorship：Lead author Language：Japanese Publishing type：Research paper (scientific journal)
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Hiroki Tanoue，Naoki Yoshinaga，Sayaka Kato，Keiko Naono-Nagatomo ，Yasushi Ishida，Yuko Shiraishi
International Journal of Nursing Sciences 5 ( 3 ) 218 - 222 2018.7
Language：English Publishing type：Research paper (scientific journal) Publisher：International Journal of Nursing Sciences
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Dissemination of Cognitive Behavioral Therapy for Mood Disorder Under the National Health Insurance Scheme in Japan: A Descriptive Study Using the National Database of Health Insurance Claims of Japan with Special Focus on Japan’s Southwest Region Reviewed
Hayashi Y, Yoshinaga N, Yonezawa Y, Tanoue H, Arimura Y, Yoshimura K, Yanagita T, Aoishi K, Ishida Y.
Asian Pacific Journal of Health Economics and Policy 1 2 - 10 2018.1
Language：English Publishing type：Research paper (scientific journal)
DOI： 10.6011/apj.2018.02
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Yoshinaga N*, Nakamura Y*, Tanoue H*, MacLiam F, Aoishi K, Shiraishi Y
Journal of Nursing Management 26 ( 1 ) 59 - 65 2018.1
Language：English Publishing type：Research paper (scientific journal) Publisher：Journal of Nursing Management
DOI： 10.1111/jonm.12521
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Yohei Nakamura，Naoki Yoshinaga，Hiroki Tanoue，Sayaka Kato，Sayoko Nakamura，Keiko Aoishi，Yuko Shiraishi
BMC Nursing 16 ( 1 ) 29 2017.6
Language：English Publishing type：Research paper (scientific journal) Publisher：BMC Nursing
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Suicidal Inclination and Lifestyle Factors in Miyazaki City Junior High School Students Reviewed
Aoishi Keiko, Tanoue Hiroki, Shiraishi Yuko
School Health 13 ( 0 ) 1 - 10 2017
Language：English Publishing type：Research paper (scientific journal) Publisher：一般社団法人 日本学校保健学会
DOI： 10.20812/jash.SH_080
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Kato Sayaka, Tanoue Hiroki, Shiraishi Yuko
Journal of Japan Academy of Psychiatric and Mental Health Nursing 25 ( 2 ) 12 - 21 2016
Language：Japanese Publishing type：Research paper (scientific journal) Publisher：The Japan Academy of Psychiatric and Mental Health Nursing
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Cognitive Behavioral Therapy in Psychiatric Nursing in Japan. Reviewed
Yoshinaga N, Nosaki A, Hayashi Y, Tanoue H, Shimizu E, Kunikata H, Okada Y, Shiraishi Y
Nursing research and practice 2015 529107 2015
Language：Japanese Publishing type：Research paper (scientific journal)
DOI： 10.1155/2015/529107
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The Effect in the Psychiatric Home Visit Nursing Station by Having Accepted the Student Nursing Practice Reviewed
The South Kyusyu journal of nursing 2015
Language：Japanese Publishing type：Research paper (scientific journal)
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認知行動療法（Cognitive Behavioral Therapy: CBT）への関与度が精神科看護師の看護職自律性に及ぼす影響要因の検討 （共著） Reviewed
白石裕子, 青石恵子, 田上博喜
日本精神保健看護学会誌 23 ( 2 ) 58 - 64 2014.11
Language：Japanese Publishing type：Research paper (scientific journal)